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Our Latest Stage 6 Customer: St. Jude Medical Center
After leading the charge of St. Joseph's Health System's "Perfect Care" initiative, St. Jude sets the bar even higher by becoming the network's first Stage 6 hospital.


St. Jude Medical Center (Fullerton, CA) is no stranger to quality improvements. As a member hospital of St. Joseph's Health System, the facility has long been a champion of 'Perfect Care,' the parent organization's efforts to enhance clinical practices in service of safer, more timely, evidence-based care delivery. Now, St. Jude has another feather to add to its cap, as the facility recently became the first in its network to achieve Stage 6 EMR adoption recognition from HIMSS Analytics.

According to Teresa Frey, RN, it's the hospital's day-by-day efforts of reexamining and redesigning care processes which have laid the groundwork for its success. And she ought to know: as St. Jude's director of clinical excellence, Frey is responsible for bridging the gaps between I.T., quality, and clinical outcomes, as well as overseeing the hospital's risk management, infection control, and CMS reporting efforts.

"Although we're very proud of reaching Stage 6, I think we all felt pretty well prepared for it. Sometimes, it's easy to forget how far we've come, when we're living in the day-to-day," Frey says. "By following the tenets of 'Perfect Care,' we've done so much more than just replace a paper system. We've automated nearly every clinical department in the hospital, and asked our providers to change everything about the way they document care. And we've done it by taking one project at a time, and always staying true to our mission."

Perfecting Results with 'Perfect Care'
Over the past several years, Frey has seen a number of quantifiable improvements resulting, at least in part, from St. Jude's commitment to using I.T. "We've been seeing benefits from working with many cutting-edge technologies in our care areas, and I.T. has certainly been a big part of that. For example, we've seen a 58% decrease in medication errors
down to .03%since implementing CPOE and Bedside Medication Verification (BMV)," she says.

"We now have 77% CPOE utilization, and we require it with any physician who completes more than 200 orders per month. With BMV, we've been careful to emphasize that the purpose of this tool is to improve quality, not get work done faster. Today, our nurses are comfortable relying on BMV, and very aware of how important it is for avoiding adverse medication events. They truly depend on it."

The MEDITECH system has also helped St. Jude's nurses to make great strides with pressure ulcer prevention, by properly documenting and tracking patient skin conditions, beginning at the point of admission. "We built reminders into the software, about double-checking patients for skin conditions in accordance with our 'Four Eyes' campaign, so we could catch and record these problems early," says Frey. "We've seen a definite decrease in our ulcer rates, because nurses are now documenting prevention measures more effectively, right at the patient bedside. These results came about, in large part, thanks to our truly outstanding nurse leaders, who worked together with our I.S. team to determine the best ways our technology could support the bedside nursing efforts."

Frey notes that the hospital has also been able to prevent instances of Ventilator Associated Pneumonia (VAP), one of the most common and costly hospital-acquired infections. "Our Critical Care Unit (CCU) nursing leadership developed Rapid Improvement Event Visual Management boards, for outside of every CCU bed. We've actually had zero VAPs since the CCU implemented the process changes supported by our electronic system back in November of 2009," says Frey.

"Furthermore, we've been able to build visual tools into our documentation, to ensure that our staff always complies with our VAP protocols. Having an electronic system has made it so much easier to measure overall infection rates, as well as staff performance of process measures, to make sure we stay on the right track."

Setting the Stage for Other Hospitals
For other hospitals pursuing Stage 6, Frey recommends a well-planned, collaborative approach, with plenty of up-front support from executive leaders. "Our Chief Medical Officer, Michael Marino, DO, was particularly helpful in communicating to our staff, and guiding us down the correct path. He assisted us in getting the key stakeholders on board at the get-go, right alongside our physicians and nurses," she says.

"But even though we had executives on our side, we were also mindful about keeping the feedback loop open, especially with clinicians, to be sure we didn't go stale. And we didn't expect to get everything done all at once; be patient and take on all of your I.T. projects in stages, a step at a time."

Frey adds that having clinicians leading clinicians is also very important to secure buy-in and establish a sense of shared purpose. "Our I.T. team consists of almost all nurses, which has been very helpful in terms of forming strong bonds with our staff," she says. "Having an understanding of where clinicians are coming from, and what they need to do their jobs effectively, has been critical to our success. We've all been embracing technology for a long time; I don't think any of us can ever imagine going back."